- HCA Healthcare (Live Oak, TX)
- …+ You will provide medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. You will meet all regulatory/contractual/accreditation… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …financial planning, revenue cycle management, budgeting, financial reporting, oversight of managed care contracts, and to ensure compliance with regulatory ... * Manages relationships and negotiations with payers; evaluates, negotiates, and administers managed care contracts. * Ensures the development and monitoring of… more
- UTMB Health (Galveston, TX)
- …knowledge of modern health care administration, principles, and practices within a managed care environment and/or an academic medical center. + Knowledge of ... - Sealy Heart and Vascular Institute **Galveston, Texas, United States** Executive - Business Professional UTMB Health Requisition # 2504039 **Summary:** The… more
- Molina Healthcare (TX)
- …* 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare ... discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding. * Independently delivers training and presentations to… more
- Evolent (Austin, TX)
- …is differentiated through content knowledge and proficiency + Personally initiate and foster executive level relationships at managed care organizations or ... facing role, this person must exude an energetic, strong executive presence and have a mission driven mentality to...cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers… more
- Humana (Austin, TX)
- …first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care , PBM, market and regulatory insights to develop, and/or ... for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights to support the development… more
- HCA Healthcare (Dallas, TX)
- …and improves reimbursement strategies. + Work with Corporate Reimbursement and Managed Care Contracting to improve transplant-related payer contract negotiations ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...The Division Vice President of Solid Organ Transplant provides executive oversight and strategic leadership for both transplant centers… more
- Veterans Affairs, Veterans Health Administration (Fort Worth, TX)
- …and professional staff. These services contribute significantly to the level of health care provided by this agency. As the Program Manager/Clinical Director for an ... of considerable scope, size, and complexity that significantly impacts the health care provided to Veterans. The following program management duties include but not… more
- Centene Corporation (Austin, TX)
- …MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred. Dental Vendor Management or Dental ... The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional … more
- Wolters Kluwer (Coppell, TX)
- …information technology (HIT) provider working on the front lines of clinical care . Our talented team of product visionaries collaborate to provide advanced clinical ... that measurably improve clinical effectiveness by helping healthcare professionals provide optimal care for their patients. PHT's mission is to improve care … more